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HomeMy WebLinkAbout211 Towne Center Blvd 06-2809O . CITY OF SANFORD PERMIT APPLICATION Permit H :_ 0Y .,[ nILO ` Date: Job Address: I I i O 0 C" (_ L j/ b - o Description of Work:/iCI 10 / j /99A) GV A4/.STotal Square Footage 7 %)nr. Historic District: AJO Zoning. Value of Work: 3 o J OOpo0 Permit Type: Building !/ Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service - H of AMPS Mechanical: Residential Non -Residential Plumbing/ New Commercial: H of Fixtures Plumbing/ New Residential. H of Water Closets Addition/ Alteration Change of Service Temporary Pole _ Replacement New (Duct Layout & Energy Cale. Required) H of Water & Scwer Lines H of Gas Lines Plumbing Repair - Residential or Commercial _ Occupancy Type: Residential Commerci I _ Industrial Construction Type: t-Hof stories: ]E Hof Dwelling Units: /VFlood Zone: A O (FEMA form required) Owners Namc.& A ress: - • - " " yL Phone: 7 g Ctractor Name & Address:'1 Phone Ea_ Bonding Company: State Lic "sse Number: _ Contact Person: P ! N /.S-Y Pt., Address: Mortgage Lender. Address: Archi(ect/ Engineer. Phone: - Ob Address: O Si 4)0(aD4 47).17 /L Fax: Application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commenced prior to the issuance of a permit andthat all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. OWNER'S AFFIDAVIT: 1 certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification That I will notify the owner of the property of the rc751ure of rids en taw, 3. r 7- 7 - oc Signature of Owner/ Agent Dateof Contractor/Agent Date Print Owner/Agent' s Name' 7 Signature of Notary - State of Florida Date Owner/Agent is _ Personally Known to Me or Produced ID APPROVALS: ZONING: Special Conditions: Rev 03/2006 Aan .IAi Contractor/ Agent is P rsonally Known to epr Produced ID /el 1 0 UTIL: F 7°/ yam ENG: ow' 1 )64 CITY OF SANFORD PERMIT APPLICATION Permit # : Date: Job Address: Description of Work: Total Square Footage Historic District: Zoning: Value of Work: S Permit Type: Building Electrical Electrical: New Service — # of AMPS Mechanical: Residential Non -Residential Plumbing/ New Commercial: # of Fixtures Plumbing/New Residential: # of Water Closets _ Occupancy Type: Residential Commercial Construction Type: # of Stories: Name & Address: Contractor Name & Address: Phone & Fax: Bonding Company: Address: Mortgage Lender: Address: Architeet/Englueer Address: Mechanical Plumbing Fire Sprinkler/Alarm Pool Addition/Alteration Change of Service Temporary Pole _ Replacement New (Duct Layout & Energy Calc. Required) of Water & Sewer Lines # of Gas Lines Plumbing Repair— Residential or Commercial _ Industrial of Dwelling Units: Flood Zone: (FEMA form required) i -I. Ir"k1 L! -rGt_[ Phone: State License Number, Contact Person: Phone Phone: Fax: Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. 1 understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements ofthis permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit if)FAfication that 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713. Date PA/fi-tlOwner/Agent's Name L6/ Jo Signature of Notary -State of Florida Date Donna J. Swatkowskitryp`e Commission #DD 192192 a Expires: Mar 10, 2007 Owner/ t is rsona I Kn9RY 9b1i r Produced ID antic Bonding Co., Inc. APPROVALS: ZONING: UTIL: FD: Special Conditions: Rev 03/2006 Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is _ Personally Known to Me or Produced ID ENG: BLDG: CITY OFSANFORD PERMIT APPLICATION Permit N : - l% 9 _9017 Job Address: " a/I 70WAI C491U iC Date: 1 F D Description of Work: &r9y%4/6 V z&1 0V /To t Square Footage Historic District: Zoning: Value of Work: S - 00 ©. 0 0 Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm fool _ Electrical: New Service - N of AMPS Addition/Aheration Y Change of Service Temporary Pole _ Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Required) Plumbing/ New Commercial: N of Fixtures N of Water & Sewer L.incs N of Gas Lines Plumbing/New Residential. N of Water Closets Plumbing Repair - Residential or Commercial _ Dccupancy Type: Residential Commercial Industrial Construction Type: N of Stories: N of Dwelling Units: Flood Zone: (FEPIA form required) owners Name & Address: t Phone contractor Name & Address: - wlyN l lLC/l (. t1_V6* hone & Fax: 3oadiag Company: ddress: Mortgage Leader: ddress: State License Number: - Contact Person. e4A aft(_ 41/t04/A- Phonc:.3916 5b/ D63 rchitect/Engineer: Phone: ddress: Fax' pplication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no wort, or installation has commenced prior to the ssuance of a permit and that all work will be performed to mat standards of all laws regulating construction in this jurisdiction. 1 understand that a separate Permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, I IEATERS, TANKS, and UR CONDITIONERS, etc. WNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating onstruction and tuning. WARNING TO OWNER YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITII YOUR LENDER OR AN TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 40TIC In addition to the requirements ofthis permit, Mere may be additional restrictions applicable to this property that may be found in the public records of his county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. cceptance of permit is verification that I will notify the owner of the property ofthe requirements of Florida Lien Law, FS 713 k '5 c7lel0,6 Signature ofOwner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is _ Personally Known to Me or Produced ID d'PROVALS: ZONING: pecial Conditions: cv 03/M6 UTIL: FD: Print ontractor/Agent's Nmne Sign c DEBBIE BLANTONzMYCOMMISSION # DD ISMI EXPIRES: February 25, 2W7 Cont ct&A4> 1"y '" r roduccd ID _ 5EC-0. 3 I a I J ENG: BLDG: BUILDING DEPARTMENT - Re: 211 Towne Center blvd 1 From: CATHY LOTEMPIO To: DEPARTMENT, BUILDING Date: 10/17/2006 4:15 pm Subject: Re: 211 Towne Center blvd This is n/a for Public Works 10.17.06 Cathy J. LoTempio Customer Service Rep Public Works Department 407-330-5627 fax# 407-330-5601 BUILDING DEPARTMENT 10/17/2006 3:57 pm >>> 06-2809 Inter remodel Henric Mac Dan 386-734-5879 BUILDING DEPARTMENT - Re: 211 Towne Center blvd 1 From: TERRY DAMES To: DEPARTMENT, BUILDING Date: 10/17/2006 4:19 pm Subject: Re: 211 Towne Center blvd completed 10.17.06 BUILDING DEPARTMENT 10/17/2006 3:57 pm >>> 06-2809 Inter remodel Henric Mac Dan 386-734-5879 BUILDING DEPARTMENT - Re: 211 Towne Center blvd 1 From: RUBEN HYATT To: BUILDING DEPARTMENT Date: 10/17/2006 4:29 pm Subject: Re: 211 Towne Center blvd passed 10-17-06 BUILDING DEPARTMENT 10/17/06 3:57 PM >>> 06-2809 Inter remodel Henric Mac Dan 386-734-5879 Page 1 of 1 JOANN JOHNSON - CO for 211 Towne Center Boulevard From: RUSSELL GIBSON To: ANNETTE SCOTT; DAN FLORIAN; JOANN JOHNSON Date: 10/20/2006 2:47 PM Subject: CO for 211 Towne Center Boulevard CC: DAVID RICHARDS; EILEEN HINSON; LARRY ROBERTSON; TERRY JAM ES Dan - I understand that utilities sign -off is the only outstanding matter pending the release of the CO for 211 Towne Center Boulevard. Please accept this e-mail as authorization for the Utilities sign -off for the issuance of the CO for 211 Towne Center Boulevard. There were NO modifications to the utility services during the interior renovations nor were the utility services disconnected or interrupted at any time during the construction. I will assume all responsibilities associated with utilities and work with the Utilities Department and the property owner should there be any complications. Thank you. Russ Gibson Russ L. Gibson, AICP Director of Planning & Development Services City of Sanford 300 N. Park Avenue Sanford, FL 32771 407) 330.5670 - Office 407) 417.2567 - Cell 162*4283*215 - Direct Conned (Nextel) 407) 330.5679 - Fax Email: gibsonr@ci.sanford.fl.us file://C:\Documents and Settings\JOHNSONJO\Local Settings\Temp\XPGrpWise\4538E... 10/20/2006 CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-1091 * FAX #: 407-330-5677 DATE: -"%/a PERMIT 11: 0&— d 1.41 BUSINESS NAME / PROJECT: j1L 1! C . ADDRESS: }ZI /curt Cy i it r,! PHONE NO.: FAX NO.: CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW F. A. [ ] F.S. [ ] HOOD [ J PAINT BOO H [ ] BURNL PERMIT [ ) TENT PERMIT f ] TANK PERMIT [ ] OTHER [1infirr.r Wg 47 c n t4g Il TOTAL FEES: S 3 0 o COMMENTS: 2. 3. PER UNIT SEE BELOW) Address / Bide. # / Unit # Sauare Footap-e Fees Der Blda. / Unit 4. 5. / !s1 YID 6. 7. 8. y1f 9. 10. J IL/ --.v 12. 13. 14. 15. 16. 17. 18. 19. 20. Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone N -407- 330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take place. I certify that the above is true and correct and that will comply with all applicable codes and ordinances of the City of Sanford, Florida. 011 Sanford Fire Prevention Division Applicant's Signature AUG-03-2006 12:55 PM enoinumtlll /MPARED BY. NAME-P/%-) I W'a'& ADW NOTICE OF COMMENCEMENT P.03 Permit No. Tax Folio No. 29 - I q,3o - ::3 - 0060 State of Florida County of Seminole The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in.this Notice of Commencement. 1. Description of property: (le al description of the roperry and street address if available) 5 2 }gv A (V OWTr3GCwa, lazes C&*er- ec r l a 4q as 26 a '` 'rw a r' 211 t r v rL 32i'T 1 2. GlneraJ description of improvement: Teoayt r .- wi-t i Mi x'ior Lar+}-i0tn vial( — 3. O er information a. Name and address - t 1,0016- ck4- &m+ZWav LI-d _ 32co W . b. Interest in property c. Name and address of fee simple titleholder (ifother than Owner) 4. Contractor a. Name and address Aer r l r, —1Mnxr Corsaora:-; r)r, AW) W . W sr v ; r, vp V b. Phone 5. Surety a. Name and address N. 41 low I IIa r4CtRK-W CIRCUIT (.WRTQrgwktr.. r- _... toulin ITb. Phone number Fax n kip- r; -pn 0,1 11;- %40Tc. Amount ofbond 6. Lender Ri:t.Y,ItUkv W/Ob/ 10% 04 oeiff: su pNa. Name and address — - M-011NININS{..E8i,,. b. Phone number ft— Fax number 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(lxa)7., Florida Statutes: a. Name and address er t ?WO- bir -ThIllip, blvd. St.ti it- 0 b. Phone number _ 4o7 -352—!&00 Fax number 7-352 - 9&&E - 8. In addition to himself or herself Owner desigates ' e of to receive copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. - a. Phone number -4C5;- 35 PjoOt> Fax number 4•0"4- 66R ' 6G- 9. Expiration date of noti of c mmencement (the expiration date is 1 year from the ate of recording unless a different date is specified) //1Z010 to Signature of (honer Sworn to (or affirmed) and subscribed before me this _ day of 20Q- L= by MMED Copy Personally Known x OR Produced Identification__ CLER OF CIRCUIT COURT Type of Identification Produced 8E NTY. FLORIDA Donna J. Swatkowski AIL Commission #DD 192192 Pl L ERK Expires: Mar 10, 2007 Signature of Notary Public, State of Florida ;''o n`P ' Bonded Thru ISEp -5 9ffA71 Commission Expires• "" Atlamic Bonding Co.. Ing WV